尼日利亚男男性行为者中的性污名模式及其与 HIV 和性传播感染流行率的关系。
Sexual Stigma Patterns Among Nigerian Men Who Have Sex with Men and Their Link to HIV and Sexually Transmitted Infection Prevalence.
机构信息
Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, USA.
Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
出版信息
AIDS Behav. 2018 May;22(5):1662-1670. doi: 10.1007/s10461-017-1982-4.
Abstract
Sexual stigma facilitates the spread of HIV and sexually transmitted infections (STIs) but little is known about stigma affecting Nigerian men who have sex with men (MSM). We assessed patterns of sexual stigma across Nigerian MSM and their relationship to HIV and STIs. Data were collected from the TRUST/RV368 Study, a prospective cohort of 1480 Nigerian MSM enrolled from March 2013 to February 2016 using respondent driven sampling. Structural equation modeling was utilized to assess the association between stigma classes and HIV and STI prevalence, adjusting for participants' characteristics. A dose-response association was found between stigma class and HIV prevalence (27, 40, 55%, overall χ p < 0.001) and STI prevalence (15, 21, 24%, overall χ p = 0.011). These data suggest that stigma mitigation strategies, combined with increased engagement of MSM and retention in the HIV care continuum, need to be a component of interventions focused on reducing HIV transmission risks among MSM in Nigeria.
摘要
性污名将促进艾滋病毒和性传播感染（STIs）的传播，但人们对影响尼日利亚男男性行为者（MSM）的污名知之甚少。我们评估了尼日利亚 MSM 中的性污名模式及其与艾滋病毒和性传播感染的关系。该数据来自 TRUST/RV368 研究，这是一项前瞻性队列研究，于 2013 年 3 月至 2016 年 2 月期间使用受访者驱动抽样法招募了 1480 名尼日利亚 MSM 参与者。结构方程模型用于评估污名类别与艾滋病毒和性传播感染流行率之间的关联，同时调整了参与者的特征。污名类别与艾滋病毒流行率（27%、40%、55%，总 χ 值 p<0.001）和性传播感染流行率（15%、21%、24%，总 χ 值 p=0.011）之间存在剂量反应关联。这些数据表明，减少污名的策略，结合增加 MSM 的参与和保留在艾滋病毒护理连续体中，需要成为干预措施的一个组成部分，这些干预措施的重点是降低尼日利亚 MSM 中的艾滋病毒传播风险。
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